This preprint is under consideration at Journal of Orthopaedic Surgery and Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
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Research Article
Gi-Won Seo
Soonchunhyang University Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2531-9707
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Some unusual rotator cuff (RC) tears are located in more proximal tendinous portions, with substantial remnant tissue attached to the footprint. The two options for surgical repair are sacrificing or preserving the remnant tissue. We introduce a surgical repair technique that preserves as much of the remnant footprint as possible.
Surgical technique
: A double-loaded suture anchor is inserted into the subchondral bone at the medial portion of the RC footprint; the lateral remnant tissue is preserved. Each strand is shuttled and repassed through the medial portion of the tendon in a mattress fashion using a suture hook device. Then, multiple no. 1 PDS sutures are passed through the medial and lateral stumps and left untied. Strands from the suture anchor are first tied in a double mattress fashion. Then, the repair is completed by tying the remaining no. 1 PDS sutures.
Conclusions
We propose a remnant-preserving RC repair technique for transtendinous RC tears with sufficient tissue remaining within the RC footprint. This technique appears advantageous in terms of re-establishing an environment that promotes tendon healing after repair.
Keywords
rotator cuff, transtendinous tears
Figure 1
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Peer Review Timeline
CURRENT STATUS: Under Review
Version (no preprint)
Posted 25 Apr, 2021
Reviewer #1 agreed
On 25 Apr, 2021
Review #1 received
Received 25 Apr, 2021
Editor assigned
On 21 Apr, 2021
Reviewers invited
Invitations sent on 21 Apr, 2021
Submission checks complete
On 21 Apr, 2021
Editor invited
On 21 Apr, 2021
This version was not preprinted
Version 1
Posted 24 Mar, 2021
No community comments so far
Review #1 received
Received 02 Apr, 2021
Editorial decision: Minor revision
On 02 Apr, 2021
Reviewer #2 agreed
On 23 Mar, 2021
Review #2 received
Received 23 Mar, 2021
Reviewers invited
Invitations sent on 21 Mar, 2021
Reviewer #1 agreed
On 21 Mar, 2021
Editor assigned
On 21 Mar, 2021
Submission checks complete
On 21 Mar, 2021
Editor invited
On 21 Mar, 2021
First submitted
On 09 Mar, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedic Surgery
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This preprint is under consideration at Journal of Orthopaedic Surgery and Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Gi-Won Seo
Soonchunhyang University Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2531-9707
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version (no preprint)
Posted 25 Apr, 2021
Reviewer #1 agreed
On 25 Apr, 2021
Review #1 received
Received 25 Apr, 2021
Editor assigned
On 21 Apr, 2021
Reviewers invited
Invitations sent on 21 Apr, 2021
Submission checks complete
On 21 Apr, 2021
Editor invited
On 21 Apr, 2021
This version was not preprinted
Version 1
Posted 24 Mar, 2021
No community comments so far
Review #1 received
Received 02 Apr, 2021
Editorial decision: Minor revision
On 02 Apr, 2021
Reviewer #2 agreed
On 23 Mar, 2021
Review #2 received
Received 23 Mar, 2021
Reviewers invited
Invitations sent on 21 Mar, 2021
Reviewer #1 agreed
On 21 Mar, 2021
Editor assigned
On 21 Mar, 2021
Submission checks complete
On 21 Mar, 2021
Editor invited
On 21 Mar, 2021
First submitted
On 09 Mar, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedic Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Some unusual rotator cuff (RC) tears are located in more proximal tendinous portions, with substantial remnant tissue attached to the footprint. The two options for surgical repair are sacrificing or preserving the remnant tissue. We introduce a surgical repair technique that preserves as much of the remnant footprint as possible.
Surgical technique
: A double-loaded suture anchor is inserted into the subchondral bone at the medial portion of the RC footprint; the lateral remnant tissue is preserved. Each strand is shuttled and repassed through the medial portion of the tendon in a mattress fashion using a suture hook device. Then, multiple no. 1 PDS sutures are passed through the medial and lateral stumps and left untied. Strands from the suture anchor are first tied in a double mattress fashion. Then, the repair is completed by tying the remaining no. 1 PDS sutures.
Conclusions
We propose a remnant-preserving RC repair technique for transtendinous RC tears with sufficient tissue remaining within the RC footprint. This technique appears advantageous in terms of re-establishing an environment that promotes tendon healing after repair.
Figure 1
Figure 2
Figure 3
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